Senior Medical Billing Specialist – U.S. Healthcare

TYPE OF WORK

Full Time

WAGE / SALARY

50K PHP Monthly

HOURS PER WEEK

40

DATE UPDATED

Sep 28, 2026

JOB OVERVIEW

Senior Medical Billing Specialist – U.S. Healthcare

Starting Salary: ₱50,000/month | Full-Time Remote | Philippines-Based

Opportunities for performance-based salary increases and professional growth.

We are hiring an experienced, English-speaking Senior Medical Billing Specialist to support a growing U.S.-based healthcare company. You’ll own the billing process—from provider enrollment and insurance eligibility through claims, appeals, and payment reconciliation.

We need someone who can independently navigate payer requirements, investigate unpaid claims, and follow through until issues are resolved. Elation is our primary platform, and experience using it for billing is strongly preferred.

Key Responsibilities:

- Manage provider enrollment and payer onboarding, including documentation, status tracking, and follow-up

- Verify insurance eligibility and benefits and address issues that could prevent payment

- Submit and monitor claims, correct rejections, investigate denials, and prepare appeals

- Coordinate medical records requests and supporting documentation within payer deadlines

- Follow up with insurance representatives to resolve unpaid claims and clear older outstanding claims

- Post and reconcile insurance payments and investigate discrepancies

- Maintain accurate claim status, follow-up notes, deadlines, and next steps

- Coordinate with the operations team to obtain missing information and improve billing workflows

Required Qualifications:

- At least 3 years of professional U.S. medical billing experience, including at least 2 years with billing as your primary responsibility

- Hands-on experience with provider enrollment, claims submission, insurance follow-up, denial management, appeals, and payment reconciliation

- Ability to independently determine why a claim has not been paid and take the appropriate steps to resolve it

- Excellent written and spoken English and confidence communicating with U.S. insurance representatives

- Strong organization, attention to detail, and consistent follow-through

- Ability to manage multiple claims, payer requirements, and deadlines

- Reliable internet and a quiet, private workspace

This position requires direct medical billing experience. General administrative work, invoice creation, patient scheduling, or insurance customer service alone does not meet the requirement.

Preferred Qualifications:

- Experience using Elation for medical billing

- Direct experience with UnitedHealthcare and Horizon Blue Cross Blue Shield of New Jersey

- Experience resolving complex payer enrollment issues and clearing a backlog of unpaid claims

Work Setup:

- Full-time remote position; Philippines-based candidates only

- Exact working hours and time zone to be confirmed during the hiring process

- All patient information must remain within approved systems and be handled according to company privacy and security procedures

Compensation and Benefits:

- Starting salary of ₱50,000 per month

- Opportunities for salary increases based on performance, demonstrated expertise, and expanded responsibilities

- Work from home in a stable, long-term role

- Opportunity to grow with the company and help improve its billing processes

Who We’re Looking For:

A proactive billing professional who can become the team’s go-to expert. You can explain what is holding up a claim, determine what needs to happen next, and follow through without step-by-step instructions for routine billing work. You’re persistent with payers, keep the team informed, and take ownership of resolving issues.

How to Apply:

Please send your resume and brief answers to the following questions. Use examples from work you personally handled, without including patient names or confidential information.

1. How many years of U.S. medical billing experience do you have, and how long was billing your primary responsibility?

2. What billing tasks have you personally handled in Elation or other billing platforms?

3. Describe your experience with UnitedHealthcare and Horizon BCBS NJ.

4. Describe a provider enrollment or payer onboarding process you personally handled and any obstacles you resolved.

5. Give an example of a complex unpaid or denied claim you resolved. What actions did you take, and what was the outcome?

6. Briefly describe your experience with payment posting and reconciliation.

SKILL REQUIREMENT

Medical Billing
Revenue Cycle Management
Denial Management

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